WOODBURY PROGRESSIVE MEDICAL ASSOCIATES PC NPI 1407337629

NPI Information

NPI: 1407337629
Provider Name: WOODBURY PROGRESSIVE MEDICAL ASSOCIATES PC

Doing Business As: HEALTHMAX PROGRESSIVE MEDICINE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
7060 VALLEY CREEK PLZ STE 121
WOODBURY, MN
ZIP 55125
Phone: (651) 735-8646
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WOODBURY PROGRESSIVE MEDICAL ASSOCIATES PC is a multi-specialty clinic center in Woodbury, MN. WOODBURY PROGRESSIVE MEDICAL ASSOCIATES PC NPI is 1407337629. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthmax Progressive Medicine.

The provider's business location address is:

7060 VALLEY CREEK PLZ STE 121
WOODBURY, MN
ZIP 55125-269
Phone: (651) 735-8646
Fax: (651) 730-9210

The provider's authorized official is Christopher Thomas Drews .
The authorized official title is President and has the following contact phone number (651) 735-8646.

The enumeration date for this NPI number is 8/25/2018 and was last updated on 7/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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